COLLEGE APPLICATION FORM

COLLEGE APPLICATION

FORM

Brookdale Community College is an Equal Opportunity/Affirmative Action institution. No person, in whatever relationship with the College, shall be subjected to discrimination or harassment on the basis of race, creed, color, nationality, national origin, ancestry, age, sex, marital status, civil union status, domestic partner status, affectional or sexual orientation, atypical hereditary cellular or blood trait, genetic information, liability for service in the Armed Forces of the United States, disability, or other protected categories or activity (i.e., opposition to prohibited discrimination or participation in the complaint process). Sexual harassment is a form of unlawful gender discrimination and, likewise, will not be tolerated. For complete information, go to brookdalecc.edu/about/equal-opportunity/

Below are instructions for completing an application for admission, along with some useful general information. If you have any questions about applying to Brookdale, please call 732-224-2944.

DEFINITIONS

1. Degree Student A degree student is a student who is enrolled in a program of study leading to a degree or certificate, either on a full- or part-time basis.

2. Non-Degree Student A non-degree student is a student who is not enrolled in a program of study leading to a degree or certificate.

3. Full-Time Study Full-time study is enrollment for 12 or more credits. Part-time study is enrollment for less than 12 credits for our 15 or 11-week terms.

4. Counselor/Advisor A Counselor/Advisor works primarily with degree students to assist them in selecting their courses, as well as with personal and career counseling.

5. Matriculation Matriculation means choosing a major and enrolling in a program leading to a certificate or degree. Degree students are matriculated; non-degree students are not matriculated.

GENERAL INFORMATION

1. Application Please complete all questions on the application. Answer the question concerning program by listing the name of the program and the code from the "Academic Program Codes" list. A $25.00 non-refundable application fee is required (check or money order) and should be submitted with the application. Applications can be returned to the Admissions Office by mail, in person at the One Stop Center for Student Services, at our Regional Locations, or can be submitted online.

2. Course Information The College Catalog lists courses taught at Brookdale and their descriptions. The "Search for Classes" link lists the times and days for courses being offered each semester. This information can be obtained online on brookdalecc.edu

3. University Partnerships University Partnerships are agreements between Brookdale and three area institutions: Georgian Court University, New Jersey City University, and Rutgers University. Each university operates out of a designated Brookdale campus, offering university-level courses taught by university faculty. Students are able to complete an Associate degree at Brookdale and transfer seamlessly into a partner university, earning a Bachelor's or even a Master's degree without leaving Monmouth County. University Partnerships also offer dual admissions, course evaluations, transfer assistance, and other services to eligible students. Some programs even offer significant tuition discounts to Brookdale graduates.

DEGREE STUDENTS

1. Admission Contact your high school and have a copy of your high school transcript forwarded to the Brookdale Admissions Office. If you completed course work at any college, have official copies of your

APPLICATION FEE: $25 (non-refundable) If you previously applied to Brookdale Community College, you do not need to reapply. If you choose to reapply, your application fee will not be refunded.

transcript forwarded to the Brookdale Admissions Office. In addition to the application, all students under 30 years of age must complete the "Immunization Record Form" found online at brookdalecc.edu/admissions/forms

2. Testing All new degree students are required to take the preregistration testing battery before they may register. These tests are designed to help you and your Counselor/Advisor select your courses. The test results play no role in your admission to the College. Once your admission application is processed, you will receive notification of testing information and possible exemptions from testing.

3. Counseling After you have taken the Placement Test or are waived, you will need to meet with a Counselor/Advisor. Counseling and Advising sessions are available via walk-in sessions and group appointments. Please call 732-224-2555 for an appointment.

4. Course Load In the long terms (Fall and Spring), degree students may register for any number of credits up to a maximum of 16. In the short terms (Summer), the maximum credit load is 7 credits. Winterim's maximum credit load is 4 credits.

NON-DEGREE STUDENTS

1. Admission The Application for Admission form on the next page is required. If, at a later date, you wish to become a degree student, additional forms are required. Ask for information at the One Stop Center for Student Services or at one of our Regional Locations.

2. Testing Pre-registration tests are not required for most non-degree students unless they wish to register for Foundational Studies or English as a Second Language courses which require preregistration tests and the approval of a Counselor/Advisor or ESL Coordinator. All other courses are available without testing or approval of the Counselor/Advisor, provided the prerequisites are met. (Course prerequisites are shown in the Catalog. The student is responsible for ensuring they have fulfilled these requirements.)

3. Counseling Non-degree students who wish to meet with a Counselor/Advisor should contact the Counseling Office for information regarding walkin availability and group appointments.

4. Course Load Some non-degree students may register for a maximum of 11 credits. Credits may be taken over one long semester or several semesters. After 11 credits, non-degree students must contact the Admissions Office.

DOCUMENTS AVAILABLE ONLINE FROM THE OFFICE OF THE VICE PRESIDENT OF STUDENT SUCCESS

? Campus Safety and Security Report ? College Drug Policy

? Graduation Rates

? Transfer Rates

brookdalecc.edu/vp-student-success/

To submit this application by mail, send to:

Brookdale Community College Office of Admissions 765 Newman Springs Road, Lincroft, NJ 07738

APPLICATION FOR ADMISSION ? BROOKDALE COMMUNITY COLLEGE

Instructions: Questions followed by an asterisk* are optional. This information does not affect either admission or placement. Your response is voluntary, but will inform Brookdale's affirmative action policy.

BIOGRAPHICAL DATA

*Social Security Number ______________________________

I choose not to provide my Social Security number. I understand that this will affect my ability to receive Financial Aid and/or receive annual documents used for tax purposes. (A Brookdale Student ID Number will be assigned to you after your application has been processed. Failure to submit your Social Security number will prevent you from retrieving your assigned Brookdale username and login information from our server.)

Last Name ________________________________________

First Name ________________________________ M.I _______

Address _____________________________________________________________________________________________________

City

________________________________________

State __________ Zip _________________________________

County of Residence _________________________________

Have you lived in NJ in the past year? Yes No

Day Phone _________________________________________

Evening Phone _________________________________________

Cell Phone _________________________________________ Personal Email: ____________________________________________

*Date of Birth _______________________________________ I choose not to provide my Date of Birth. I understand that this will affect my

ability to receive Financial Aid.

Are you a U.S. citizen? Yes No

Are you a Veteran of the U.S. Armed Forces? Yes No

*I identify my gender as ____________________________________ *Ethnicity Hispanic/Latino Non-Hispanic/Latino

*Race American Indian/Alaskan Native Asian Black or African American Native Hawaiian/Other Pacific Islander White

PROGRAM OF STUDY

Year you plan to begin __________ Starting Term Fall Winterim Spring Summer I Summer II Summer III Do you plan to be a Degree (regular) student enrolled in a degree or certificate program? Yes No If YES, what program do you intend to pursue? _______________________________________________________________ (see list on last page) If NO, do you plan to be a Non-degree (special) student Visiting student (matriculated elsewhere) Service Members Opportunity College (SOC)

Non-degree English as a Second Language (ESL) student Do you intend to apply for Financial Aid? (if yes, SSN and DOB are required) Yes No Is English your first or primary language? Yes No Would you like to receive information about Brookdale's University Partnerships? (see information on previous page) Yes No

EDUCATION

High School last attended ________________________________ Highest grade completed ____________________ Year of graduation ______ City/State of High School ________________________________ Are you a high school student applying for "Fast Start"? Yes No Do you have an equivalency diploma (GED)? Yes No If yes, from what state? ____________________________________________ List all colleges and schools attended after high school (Do not omit schools in which no credits were earned. Send transcripts from each.)

School

City & State

Month & Year

/ to / / to / / to /

Degree

SIGNATURE

I certify that all the answers I have given are correct and accurate. Response is voluntary and the information will be kept confidential. Refusal to provide this information will not subject the applicant to any adverse treatment.

Signature _________________________________________________________________________ Date ____________________________

an equal opportunity/affirmative action institution

ACADEMIC PROGRAMS ? TRANSFER

BUSINESS & SOCIAL SCIENCES INSTITUTE

BUSAD Business Administration A.S. CRJUNSS Criminal Justice A.S. - National Security Studies Track CRJUS Criminal Justice A.S. CJCOR Criminal Justice, Corrections A.S. EDEC Education. Early Childhood Education A.A. EDUC Education Program, Elementary, Middle School and

Secondary Education A.A. HLSEM Homeland Security and Emergency Management A.S. HMADD Human Services, Addiction Studies A.S. HMGEN Human Services, Generalist A.S. HMPSW Human Services, Pre-Social Work A.S. SOCSC Social Sciences A.A. SSANT Social Sciences, Anthropology A.A. SOCHS Social Sciences, Health Science A.A. SSHIS Social Sciences, History A.A. SSINT Social Sciences, International Studies A.A. SSPHI Social Sciences, Philosophy A.A. SSPOL Social Sciences, Political Science A.A. SSPSY Social Sciences, Psychology A.A. SSSOC Social Sciences, Sociology A.A

HUMANITIES INSTITUTE

ARCHT Architecture A.S.

ART

Fine Arts, Studio Art A.F.A.

HUART Humanities, Art A.A.

HUDIS Humanities, Communication Disorders A.A.

HUCRW Humanities, Creative Writing A.A.

HUENG Humanities, English A.A.

HUGDS Humanities, Graphic Design A.A.

HUJOU Humanities, Journalism A.A.

HULIB Humanities, Liberal Education A.A.

HUMED Humanities, Media Studies A.A.

HUMUS Humanities, Music A.A.

HUPHT Humanities, Photography A.A.

HUPBR Humanities, Public Relations A.A.

HUTHT Humanities, Theater A.A.

HUWGS Humanities, Women's and Gender Studies A.A.

STEM INSTITUTE

CMPSC Computer Science A.S. ENGIN Engineering A.S. ENVSC Environmental Science A.S. MSBIO Mathematics/Science, Biology A.S. MSCHM Mathematics/Science, Chemistry A.S. MSMTH Mathematics/Science, Mathematics A.S. MSPHY Mathematics/Science, Physics A.S. MTHSC Mathematics/Science, Science A.S.

HEALTH SCIENCES INSTITUTE

PBHLT Public Health A.S. *

ONLINE DEGREE PROGRAMS

HUENGOL Humanities, English A.A. HUUBOL Humanities, Liberal Education A.A. SSPSYOL Social Sciences, Psychology A.A. SSHISOL Social Sciences, History A.A. SOCSCOL Social Sciences A.A. SSSOCOL Social Sciences, Sociology A.A.

ACADEMIC PROGRAMS ? CAREER

BUSINESS & SOCIAL SCIENCES INSTITUTE

ACCNT Accounting A.A.S. BUBMT Business Management A.A.S. CULAR Culinary Arts A.A.S. FASHN Fashion Merchandising A.A.S. MARKT Marketing A.A.S. PLGLS Paralegal Studies A.A.S. EDTAS Teacher Assistant A.A.S. BUTCS Technical Studies, Business Management A.A.S.

HUMANITIES INSTITUTE

CMAUD Communication Media, Audio Production A.A.S.

CMVP Communication Media, Video Production A.A.S.

DIAD Digital Animation & 3D Design A.A.S.

DIGP

Digital Animation & 3D Design, Game Programming A.A.S.

GRPDN Graphic Design A.A.S.

INTDS Interior Design A.A.S.

MUTCH Music Technology A.A.S.

STEM INSTITUTE

AUENG Automotive Technology, Automotive Engineering Technician A.A.S.

AUTCH Automotive Technology A.A.S.

AUTCH Automotive Technology, General Motors Automotive

Service Educational Program A.A.S.

CMPPR Computer Science, Programming A.A.S.

CMPWD Computer Science, Web Site Development A.A.S.

ELEUT Electric Utility Technology, Overhead Lines A.A.S.

ELEUS Electric Utility Technology, Substation A.A.S.

ELCMP Electronics Technology, Electronic/Computer Technician A.A.S.

ELENG Electronics Technology, Electronics Engineering Technology A.A.S.

NTIT

Network Information Technology A.A.S.

HEALTH SCIENCES INSTITUTE

HITC

Health Information Technology A.A.S. *

SOCNU Nursing A.A.S. *

SOCRT Radiologic Technology A.A.S. *

SOCRC Respiratory Care A.A.S. *

ACADEMIC CREDIT CERTIFICATES

ACCTCC Accounting CRJUC Criminal Justice CULCAC Culinary Arts PDAST Dental Assisting MEDAC Medical Coding PPGLA Paralegal Studies CUPSTC Pastry Arts CSWEBC Webmaster Administration

ACADEMIC CREDIT CERTIFICATES OF ACHIEVEMENT

AUADUA Advanced Automotive Technician AUBRKA Automotive Brakes, Steering, Suspension and Alignment Specialist AUELTA Automotive Electrical/Power Systems Specialist AUTNPA Automotive Engine Performance Specialist AUDRVA Automotive Transmission Systems Specialist CSREPA Computer Repair Academic Credit Certificate of Achievement CYBSEC Cybersecurity DDIDAA Digital Drawing for Interior Design and Architecture CSLANA LAN/WAN SOCMDA Social Media SSRVCA Social Services

* There are additional admission requirements for these programs

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